Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,540.60 / $3,038.77 / $4,751.52	Professional		$2,540.60	$3,038.77	$4,751.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,449.26 / $28,768.48 / $57,608.88	Facility		$13,449.26	$28,768.48	$57,608.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,047.94 / $3,611.43 / $4,203.75	Professional		$3,047.94	$3,611.43	$4,203.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,542.46 / $3,673.49 / $5,170.10	Professional		$2,542.46	$3,673.49	$5,170.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,547.29 / $3,881.58 / $9,786.70	Professional		$2,547.29	$3,881.58	$9,786.70
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,697.15 / $3,153.79 / $3,537.43	Professional		$2,697.15	$3,153.79	$3,537.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,000.02	Professional		$32.34	$32.34	$4,000.02
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,347.89 / $3,547.50 / $5,666.31	Professional		$2,347.89	$3,547.50	$5,666.31